THE CARPUS AS A WHOLE

The bones of the carpus, exclusive of the accessory, form an irregular

quadrangular mass, the width of which is about twice the height or the

antero-posterior diameter. The =anterior= or =dorsal surface= is convex

from side to side, depressed along the line of junction of the two rows,

and prominent below. The =posterior= or =volar surface= is in general

slightly convex, but very irregular. It forms with the accessory the

=carpal groove= (Sulcus carpi), which in the recent state is rendered

smooth by the posterior ligament; it is converted into the =carpal

canal= (Canalis carpi) for the flexor tendons by the transverse carpal

ligament, which stretches across from the accessory bone to the inner

side. The =proximal surface= is widest internally and is elevated in

front, concave behind; it is entirely articular and adapted to the

carpal articular surface of the radius. The =distal surface= is also

articular and is irregularly faceted in adaptation to the surfaces of

the metacarpal bones; each of the lower bones usually articulates with

two metacarpal bones, but sometimes the third does not bear on the inner

metacarpal bone. The =lateral surfaces= are both irregular and rough,

the internal one being the wider. With the exception of the accessory,

ulnar, and second, each bone articulates with two bones of the other

row.

=Development.=—Each ossifies from a single center.

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